John was waiting in the exam room for me. I was standing outside the door, not wanting to go inside. Two years ago his colon cancer was resected; one year ago his adjuvant chemo was completed. John had changed his diet, started hiking every weekend, and cut out a lot of beer. He lost 40 pounds and looked like a new person. At his last visit I remembered saying, “You are doing such a terrific job!” He beamed, full of pride and hope. Today, however, my pre-visit review had not been so terrific: his CT showed two new centimeter-sized pulmonary nodules. Oh, ugh, I thought. I’m going to ruin his day. Read more of Tony’s post at ASCO Connection…